CN101873844A

CN101873844A - System, method, and apparatus for assisting a rescuer in resuscitation

Info

Publication number: CN101873844A
Application number: CN200880101007A
Authority: CN
Inventors: C·J·鲍斯
Original assignee: Cardiac Science Inc
Current assignee: Cardiac Science Inc
Priority date: 2007-06-01
Filing date: 2008-06-02
Publication date: 2010-10-27
Also published as: JP2010528722A; US20080300518A1; CA2689382A1; AU2008259899A1; WO2008151126A2; WO2008151126A3; KR20100031116A; IL202438A0; EP2157962A2

Abstract

A device, method and system are disclosed for assisting a rescuer attempting to resuscitate a patient in need of resuscitation. A CPR assist device is provided that includes a first indication of a first surface of the CPR assist device to place in contact with a patient. The CPR assist device further includes a second indication of a second surface of the CPR assist device to place in contact with a patient. In one embodiment, the CPR assist device is adapted to provide indicia to a rescuer that provide instructions to assist the rescuer to resuscitate the patient. In another embodiment, the CPR assist device is adapted to initiate or adjust instructions and/or therapy based on whether the first surface or the second surface of the CPR assist device is placed in contact with the chest region of a patient in need of resuscitation.

Description

The system, the method and apparatus that are used for auxiliary rescuer in resuscitation

Related application

The application's case is advocated based on filing an application on June 1st, 2007 and title is the U.S. Provisional Application case the 60/941st of " system, the method and apparatus (SYSTEM; METHOD; ANDAPPARATUS FOR ASSISTING A RESCUER IN RESUSCITATION) that are used for auxiliary rescuer in resuscitation ", No. 376 priority, this U.S. Provisional Application case is incorporated herein in full with reform.

Technical field

The present invention relates to be applicable to the auxiliary method and apparatus that the patient is recovered.More specifically, the present invention relates to a kind of being suitable for being placed on the patient body when making patient's recovery, to furnish an explanation and/or to indicate the device of assisting the rescuer.

Background technology

Existing many technology that is used to make the patient's recovery that is in life-threatening situation.The status of patient that may need to recover includes but are not limited to: asystole, bradycardia, tachycardia, ventricular fibrillation and respiratory arrest.Being used to make an example of the technology that the patient recovers is to implement cardiopulmonary resuscitation (CardioPulmonary Resuscitation; CPR) and/or life-kiss.

CPR is the rescuer in a kind of technology of in emergency circumstances utilizing, has stopped beating and/or the patient can not make oxygen enter patient's blood during spontaneous respiration in order to the heart as the patient.When implementing cardiopulmonary resuscitation, the rescuer makes and produces blood circulation in patient's body by periodically pushing patient's chest.Life-kiss then be the heart as the patient stopped beating and/or the patient can not spontaneous respiration the time by the rescuer in order to start or a kind of technology of auxiliary patient respiratory.When implementing life-kiss, the rescuer is by starting or auxiliary patient respiratory in the air incoming call patient mouth.

Chest compression produces blood circulation by comprehensive rising of intrathoracic pressure and/or by directly pushing of heart.(the American Heart Association of American Heart Association; AHA) state " when appropriately implementing the artificial respiration concomitantly when pushing, the blood that is circulated in the lung by chest compression might receive enough oxygen to earn a bare living " in the guide rule.Utilize CPR can make the patient keep survival, precondition can provide the chest compression and the artificial respiration of appropriate enforcement continuously for the rescuer.

The different CPR technology of many kinds has been recommended according to patient and status of patient by American Heart Association.(American?Heart?Association?2005?Guidelines?for?CPR?and?ECC)。American Heart Association recommends the rescuer to push the chest of adult patient with two handss.For the child, the palm root of a hands is then recommended less child is used by American Heart Association, perhaps bigger child is used two handss.For the baby, American Heart Association is recommended when a rescuer is on the scene, uses two finger presses patients' chest, and when two rescuers are on the scene, uses two thumb press patients' chest.

For making CPR be easier to layman's study, memory and implementing, 2005, American Heart Association was reduced to aforesaid scheme with its suggested design.(American?Heart?Association2005?Guidelines?for?CPR?and?ECC：Part?3，Overview?of?CPR)。When doing these simplification, American Heart Association must reduce the effectiveness of different CPR technology.

For this reason, need a kind of device of practicality to come for the rescuer provides information, this information indication rescuer utilizes any in the different CPR technology to the patient with one or more particular communitys or one or more particular conditions.Type of device will provide coaching for the rescuer, so that the rescuer can be according to described one or more particular communitys and/or one or more particular condition and consistently and effectively the patient recovered.Because this device both is intended to use for the layman, also for medical professional's use, so also need a kind of device of the practicality that will link up with various potential rescuers in this technical field.

Also exist at present other to be used for the device that auxiliary rescuer recovers the patient.The example of these devices comprises the device that is used to monitor the cardiac compression that puts on the patient.User can apply power to these devices, to provide cardiac compression to the patient.These devices also can be provided for the indication that auxiliary rescuer implements CPR.

Assist the rescuer that CPR is provided although can utilize existing apparatus, but said apparatus does not possess at particular patient with one or more attributes or situation or specific rescuer with one or more attributes or situation, the ability of selecting between different resuscitation techniques.

Summary of the invention

The invention provides a kind of device, method and system that auxiliary rescuer recovers the patient that be used for.In one embodiment, described device is an object, and its size and dimension makes its chest region that can be applicable to the patient implement CPR with auxiliary rescuer.In different embodiment, described object comprises first indication with the first surface contact patient placement of object.In another embodiment, described object also comprises second indication with the second surface contact patient placement of object.In another embodiment, described object comprises and being positioned on the object in order to pass on the indicator of explanation, the using method of these explanation indications described object when trial makes patient's recovery.In different alternate embodiments, described object comprises one or more devices, and wherein said one or more devices are suitable for passing on the explanation that is used to indicate the using method of described object when attempting making patient's recovery.

According to an aspect, provide a kind of system that auxiliary rescuer recovers the patient that is used for.In one embodiment, described system comprises the device that is known as CPR auxiliary device or CPR disk.In one embodiment, described CPR auxiliary device is coupled to one or more external device (ED)s with communication mode.In different embodiment, described one or more external device (ED)s are suitable for auxiliary rescuer recovers the patient.In another embodiment, described one or more external device (ED) is suitable for passing on explanation to the rescuer that trial is recovered the patient.

In different embodiment, the method that provides a kind of CPR of utilization auxiliary device that the patient is recovered.In one embodiment, described method comprises that the rescuer determines the step which surface contact patient of described CPR auxiliary device should be placed.This determines can be based at least one first indication and at least one second indication, described at least one first indication is that at least a portion contact patient's of the first surface of CPR auxiliary device chest region is placed in indication, and described at least one second indication is then indicated at least a portion contact patient's of the second surface of CPR auxiliary device chest region is placed.In another embodiment, based on described determining step, the rescuer places the first surface of described CPR auxiliary device or second surface contact patient's chest region.In another embodiment, described method comprises that the rescuer receives the step of explanation, and wherein these explanations are placed based on the chest region that is first surface or second surface contact patient at least in part.

According to an aspect of the present invention, provide a kind of CPR of utilization disk method that auxiliary rescuer recovers the patient.In different embodiment, described method is included as the step that the rescuer provides the CPR disk.In one embodiment, the size and dimension of described CPR disk is suitable for being placed on patient's the chest region.In another embodiment, described method comprises the step that first indication is provided to the rescuer, and described first indication is to indicate the first surface with the CPR disk to be placed on patient's the chest region.In another embodiment, described method comprises the step that second indication is provided to the rescuer, and described second indication is to indicate the second surface with described CPR disk to be placed on patient's the chest region.In different embodiment, described method also comprises the step that is provided for making the explanation that the patient recovers to the rescuer, and wherein these explanations are at least in part based on being that first surface or second surface are placed on patient's the chest region.

Description of drawings

With reference to following more detailed description, can more fully understand and understand these and other purpose of the present invention and advantage in conjunction with the accompanying drawings to the present preferred embodiments embodiment of the present invention, in the accompanying drawing:

Fig. 1 illustration substantially uses CPR that the patient is recovered;

The placement of the hands that Fig. 2 a is recommended when illustration is implemented CPR to the adult substantially;

The placement of the hands that Fig. 2 b is recommended when illustration is implemented CPR to the child substantially;

The position of the hands that Fig. 2 c is recommended when illustration is implemented CPR to the baby substantially;

Fig. 3 a is the first surface of an embodiment of illustration CPR auxiliary device substantially;

Fig. 3 b is the second surface of an embodiment of illustration CPR auxiliary device substantially;

Fig. 3 c is the side view of an embodiment of illustration CPR auxiliary device substantially;

Fig. 3 d is the side view cutaway drawing of the alternate embodiment of illustration CPR auxiliary device substantially;

The different instances of the device that Fig. 4 cardinal principle illustration CPR auxiliary device can comprise;

The different instances of the pick off that Fig. 5 cardinal principle illustration CPR auxiliary device can comprise;

Fig. 6 a and Fig. 6 b be an embodiment of illustration CPR auxiliary device substantially;

Fig. 7 a and Fig. 7 b be an embodiment of illustration CPR auxiliary device substantially;

Fig. 8 a and Fig. 8 b be an embodiment of illustration CPR auxiliary device substantially;

Fig. 9 a and Fig. 9 b be an embodiment of illustration CPR auxiliary device substantially;

Figure 10 a-10b illustration rescuer substantially utilizes the CPR auxiliary device that the patient is recovered;

Figure 11 illustration substantially assists the rescuer to implement the flow chart of patient's recovery by the CPR auxiliary device is provided;

Figure 12 is the example of the explanation that provided by the CPR auxiliary device of illustration substantially; And

Figure 13 cardinal principle illustration comprises the system of CPR auxiliary device.

The specific embodiment

Fig. 1 101 couples of patients of illustration rescuer 102 substantially implements CPR.Rescuer 101 implements CPR by the chest 103 that or many handss is placed on patient 102 chest region and pushes patient 102.Decide according to patient's situation and patient's attribute, can various interval and according to pressing depth implement chest compression.Rescuer 101 also can implement life-kiss with implementing CPR.The status of patient that may need to recover includes but are not limited to: asystole, bradycardia, tachycardia, ventricular fibrillation and respiratory arrest.The different example of patient's attribute comprises: patient's age, patient's stature and patient's sex.The different example of rescuer's situation or attribute comprises: rescuer's language to understand, rescuer's stature, rescuer's age or rescuer are to the familiarity of recovery program.

Fig. 2 a to Fig. 2 c substantially illustration is used to make the example of the different CPR technology that the patient recovers based on patient's attribute.Fig. 2 a illustration when adult patient is implemented CPR, the hands laying method 202 of rescuer on patient's chest 201.In this example, the rescuer of adult patient can place at least one hands on the chest 201 of adult patient.In another example, the rescuer of adult patient can place two handss on the chest 201 of adult patient.In the example of Fig. 2 a, the rescuer is placed on the palm of a hands on patient's the chest 201, and the palm of his/her another hands is placed on first on hand, pushes patient's chest with two handss then.

Fig. 2 b illustration when child patient is implemented CPR, the hands laying method 204 of rescuer on patient's chest 203.American Heart Association is defined as the age hebetic people of no show greater than 1 years old but also with the child.In this example, the rescuer of child patient can be placed on a hands on patient's chest 203 or two handss is placed on patient's the chest 204.The rescuer can be placed on the palm of two handss on patient's chest 203, makes the palm of a hands be placed on another on hand, or only a hands is placed on patient's chest 203.In case the rescuer is placed on hands on patient's chest 203, the rescuer just then applies chest compression so that patient's recovery.

Fig. 2 c illustration when infant patients is implemented CPR, the hands laying method 206 of rescuer's hands on patient's chest 205.American Heart Association is defined as the age with the baby and is less than or equal to one-year-old people.In this example, how rescuer's hands is placed and is depended on that the rescuer is unique rescuer or has second rescuer on the scene.If the rescuer is unique rescuer, American Heart Association recommends the rescuer that a finger of every hands is placed on patient's chest 205.If there is second rescuer on the scene, American Heart Association then recommends the rescuer that two thumbs are placed on patient's chest 205.In case the rescuer is placed on its thumb or finger on patient's chest 205, the rescuer just then applies chest compression so that patient's recovery.

Fig. 3 cardinal principle illustration is according to an embodiment of CPR disk 301 of the present invention.Term " disk (puck) " is used for the illustration purpose herein, but not is used to limit purpose.Term used herein " disk " is intended to include any following object: on the chest region that its size and dimension is suitable for making at least one surface be placed on the patient who needs recovery, wherein the size of surf zone cardinal principle is greater than the mean depth of described object.CPR used herein " disk " is meant CPR auxiliary device, CPR chest compression pick off or CPR teaching apparatus, and can alternately be referred to by these terms in the present invention in the whole text.The first surface 304 of Fig. 3 a illustration CPR auxiliary device or CPR disk 301, and the second surface 314 of Fig. 3 b illustration CPR auxiliary device or CPR disk 301.In this embodiment, CPR disk 301 is objects.In different embodiment, the size and dimension of described object is suitable for being placed on patient's the chest region.In one embodiment, CPR disk 301 can be made of softish compressible material.In another embodiment, CPR disk 301 can be made of hard material.In different embodiment, CPR disk 301 can be made of the material that any its size and dimension can be suitable for being placed on patient's chest region.

The further illustration of Fig. 3 a and 3b wherein first surface 304 and second surface 314 is suitable for the embodiment that essence conforms to patient's chest region.According to present embodiment, when the rescuer attempts making the adult patient recovery, second surface 314 contact adult patients are placed.In addition, according to present embodiment, second surface 314 is suitable for the chest region that essence conforms to adult patient.When the rescuer attempts making the child patient recovery, first surface 304 contact child patients are placed.According to present embodiment, first surface 304 is suitable for the chest region that essence conforms to child patient.Because the chest region of adult patient greater than the chest region of child patient, is suitable for conforming to the surface portion that the surface portion of the chest region of adult patient 315 is wider than the chest region that is suitable for conforming to child patient 305.

Fig. 3 c is the side view of the embodiment of illustration CPR disk 331 substantially.According to present embodiment, CPR disk 331 comprises the first surface 332 of the chest region that is suitable for conforming to first group of patient and is suitable for conforming to the second surface 333 of second group of patient's chest region.According to present embodiment, first group of patient is greater than second group of patient.Therefore, be suitable for essence and conform to first group of patient's the part 334 of chest region greater than being suitable for the part 335 that essence conforms to second group of patient's chest region.

Fig. 3 d is another side view cutaway drawing of the alternate embodiment of illustration CPR disk 351 substantially.This kind embodiment can have various geometries and not be intended to only limit to disclosed shape and profile among the figure.In the present embodiment, CPR disk 351 has the first surface 352 of the chest region that is suitable for conforming to first group of patient and is suitable for conforming to the second surface 353 of second group of patient's chest region.According to present embodiment, first group of patient is greater than second group of patient.Therefore, be suitable for essence and conform to first group of patient's the part 354 of chest region greater than being suitable for the part 355 that essence conforms to second group of patient's chest region.

According to an aspect, described object comprises at least two surfaces 304 and 314.Described at least two surfaces 304 of the example illustration of Fig. 3 a and Fig. 3 b and 314 are round-shaped; Yet according to different examples,

surface

304 and 314 can be circle, ellipse, square, rectangle or any other shape.In different embodiment, CPR disk 301 comprises first indicator 302 and second indicator 312.In one embodiment, the first surface 304 contact patients of CPR disk 301 are placed in 302 indications of first indicator.In one embodiment, the second surface 314 contact patients of CPR disk 301 are placed in 312 indications of second indicator.In the embodiment shown in Fig. 3 a and the 3b, first indicator, 302 indications " adult (Adult) ".In the present embodiment, first indicator 302 is indicated to the rescuer: if the patient is the adult, the chest region that the second surface 314 of CPR disk 301 should be contacted patients is placed.In the embodiment shown in Fig. 3 b, 312 indications " child (Child) " of second indicator.In the present embodiment, when the patient was the child, placed by the chest region that the first surface 304 of CPR disk 301 should be contacted patients to rescuer's indication for second indicator 312.

In different embodiment, can comprise indicator on the CPR disk 301, to pass on the explanation that makes being used to of being recommended the technology of particular patient recovery about the usage of CPR disk 301 and American Heart Association.In one embodiment, these indicators can comprise one or more indications of American Heart Association being implemented being used to of recommending the hands modes of emplacement of CPR.Embodiment shown in Fig. 3 a and Fig. 3 b is illustration hands register guide 303,313 also.In the present embodiment, the indicator on the first surface 304 comprises hands register guide 303.Hands register guide 303 can be positioned at the central area of CPR disk 301.Hands register guide 303 when attempting making adult's recovery, is answered two handss of use as described herein to rescuer's indication.In one embodiment, the indicator on the second surface 314 comprises the hands register guide 313 of the central area that can be arranged in CPR disk 301.Hands register guide 313 when attempting making child's recovery, is answered hands of use as described herein to rescuer's indication.

Fig. 6 a and Fig. 6 b be an embodiment of illustration CPR disk 601 substantially.The first surface 604 of Fig. 6 a illustration CPR disk 601, the second surface 614 of Fig. 6 b illustration CPR disk 601.In different embodiment, CPR disk 601 can comprise at least two surfaces 604 and 614.In one embodiment, CPR disk 601 can comprise first indicator 602 and second indicator 612.In one embodiment, the second surface contact patient of object 614 is placed in 602 indications of first indicator.In one embodiment, the first surface contact patient of object 604 is placed in 612 indications of second indicator.

According to an aspect, first indicator 602 indicates CPR disk 601 to communicate with first language to the rescuer.In another embodiment, second indicator, 612 indication CPR disks 601 will communicate with second language.According to these embodiment, if second surface 614 contact patients place, CPR disk 601 can be suitable for communicating with first language.In addition, according to these embodiment, if first surface 604 contact patients place, CPR disk 601 can be suitable for communicating with second language.In alternate embodiment, if first surface 604 contact patients place, CPR disk 601 can be suitable for communicating with first language.In another alternate embodiment, if second surface 614 contact patients place, CPR disk 601 can be suitable for communicating with second language.

In the exemplary embodiment shown in Fig. 6 a and Fig. 6 b, 602 indications " English (English) " of first indicator.In the present embodiment, first indicator 602 is indicated to the rescuer: if the rescuer knows English, the chest region that then second surface 614 of CPR disk 601 should be contacted patients is placed.In the embodiment shown in Fig. 6 b, second indicator, 612 indications " Spanish (Espanol) ".In the present embodiment, second indicator 612 is indicated to the rescuer: if the rescuer understands Spanish, the chest region that then first surface 604 of CPR disk 601 should be contacted patients is placed.In different embodiment, as described herein, CPR disk 601 can be suitable for passing on explanation to the one or more rescuers that understand one or more different languages.

Fig. 7 a and Fig. 7 b be the alternate embodiment of illustration CPR disk 706 substantially.Fig. 7 a is the first surface 701 of illustration CPR disk 706 substantially.The second surface 711 of Fig. 7 b illustration CPR disk 706.According to the embodiment shown in Fig. 7 a, first surface 701 comprise first indicator 702 and second indicator 703 the two.According to present embodiment, the two all can indicate " English (English) " first indicator 702 of first surface 701 and second indicator 703.The rescuer is informed in this indication: CPR disk 706 is suitable for communicating by letter in English.According to present embodiment, first indicator 702 is further to rescuer's indication " adult (Adult) ".In addition, according to present embodiment, if the rescuer is just attempting making the adult patient recovery, then the rescuer is orientated to CPR disk 706 and makes first indicator 702 nearest apart from patient's head on patient's chest region.According to present embodiment, second indicator 703 is also to rescuer's indication " child (Child) ".If the rescuer is just attempting making the child patient recovery, then the rescuer is orientated to CPR disk 706 and makes second indicator 703 nearest apart from patient's head on patient's chest region.

In one embodiment, second surface 711 can comprise first indicator 712 and second indicator 713 the two.According to this embodiment, first indicator 712 and second indicator 713 of second surface 711 can be indicated " Spanish (Espanol) ".The rescuer is informed in this indication: CPR disk 706 is suitable for communicating with Spanish.According to present embodiment, first indicator 712 is also to rescuer's indication " adult (Adult) ".According to present embodiment, if the rescuer is just attempting making the adult patient recovery, then the rescuer is orientated to CPR disk 706 and makes first indicator 712 nearest apart from patient's head on patient's chest region.According to present embodiment, second indicator 713 is also to rescuer's indication " child (Child) ".If the rescuer is just attempting making the child patient recovery, then the rescuer is orientated to the CPR disk and makes second indicator 713 nearest apart from patient's head on patient's chest region.

Fig. 8 a and Fig. 8 b be another embodiment of illustration CPR disk 806 substantially.Fig. 8 a is the first surface 801 of illustration CPR disk 806 substantially.The second surface 811 of Fig. 8 b illustration CPR disk 806.In one embodiment, first surface 801 comprise first indicator 802 and second indicator 803 the two.According to present embodiment, the two all indicates " child (Child) " first indicator 802 of first surface 801 and second indicator 803.The rescuer is informed in this indication: CPR disk 806 is intended to be used for child patient.According to present embodiment, first indicator 802 is also to rescuer's indication " English (English) ".If the rescuer knows English, then it is orientated to CPR disk 806 and makes first indicator 802 nearest apart from patient's head on patient's chest region.According to present embodiment, second indicator 803 is also to rescuer's indication " Spanish (Espanol) ".If the rescuer understands Spanish, then the rescuer is orientated to CPR disk 806 and makes second indicator 803 nearest apart from patient's head on patient's chest region.

Fig. 8 b is the second surface 811 of illustration CPR disk 806 substantially.In one embodiment, second surface 811 comprise first indicator 812 and second indicator 813 the two.According to present embodiment, the two all indicates " adult (Adult) " first indicator 812 and second indicator 813.The rescuer is informed in these indications: CPR disk 806 is intended to be used for adult patient.According to present embodiment, first indicator 812 is also to rescuer's indication " English (English) ".If the rescuer knows English, then it is orientated to CPR disk 806 and makes first indicator 812 nearest apart from patient's head on patient's chest region.According to this embodiment, second indicator 813 is also to rescuer's indication " Spanish ".If the rescuer understands Spanish, then it is orientated to CPR disk 806 and makes second indicator 813 nearest apart from patient's head on patient's chest region.

Fig. 9 a and Fig. 9 b be the alternate embodiment of illustration CPR disk substantially.Fig. 9 a is the first surface 901 of illustration CPR disk 906 substantially.The second surface 911 of Fig. 9 b illustration CPR disk 906.According to American Heart Association, when a rescuer was just attempting making the infant patients recovery, this rescuer should be placed on two fingers on patient's the chest region when attempting pushing patient's chest.Another is chosen as, and American Heart Association is also recommended when just attempting making the infant patients recovery more than a rescuer, and the rescuer should be placed on two thumbs on patient's the chest when implementing chest compression.

According to the embodiment of Fig. 9 a and Fig. 9 b, first surface 901 comprises indicator " many rescuers baby (Multiple Rescuer Infant) " 902.Indicator 902 is informed one or more rescuers: CPR disk 906 is intended to be used for the baby when attempting making baby's recovery more than a rescuer.Fig. 9 b is the second surface 911 of illustration CPR disk 906 substantially.In one embodiment, second surface 911 comprises indicator " single rescuer baby (Single Rescuer Infant) " 912.Indicator 912 is informed single rescuer: CPR disk 906 is intended to be used for the baby when a rescuer attempts making baby's recovery.First surface 901 comprises another indicator 903: under a plurality of rescuer's situations, the rescuer that the infant patients chest is pushed in trial should be placed on two thumbs on the CPR disk 906.Second surface 911 comprises indicator 913, and the single rescuer of indicator 913 indication infant patients should be placed on the CPR disk 906 two fingers to push the infant patients chest.

The embodiment of the method that a kind of patient of making of Figure 10 a cardinal principle illustration recovers, wherein rescuer 1003 utilizes CPR disk 1002 to make patient's 1001 recoveries.According to present embodiment, the method comprises that the rescuer determines the step that the chest region 1006 of which the contact patient 1001 in first surface 1004 or the second surface 1005 is placed.In at least one embodiment, this step comprises: the rescuer is based at least one second indicator at least a portion of the second surface 1005 of at least one first indicator at least a portion of the first surface 1004 of CPR disk 1002 and CPR disk 1002, and which surface decision is placed on the patient 1001.Then, the rescuer places first surface 1004 or second surface 1005 contact patients' 1001 chest region 1006 based on previous decision.In the example shown in Figure 10 a, the rescuer places second surface 1005 contact patients' 1001 chest region 1006.

Figure 10 b illustration rescuer 1011 substantially utilizes CPR disk 1012 to make the opposite side view of the embodiment of patient's 1013 recoveries.According to this example, as described herein, which surface contact patient of CPR disk 1012 is placed in rescuer's decision.In this example, rescuer 1011 places the first surface 1014 contact patients 1013 of CPR disk 1012.According to present embodiment, CPR disk 1012 is suitable for conforming to patient 1013 chest region.In the present embodiment, rescuer 1011 receives based on the explanation that is included in the indicator on the CPR disc surfaces 1015, and according to this indicator, rescuer 1011 is placed on the CPR disk 1,012 two handss so that patient 1013 is implemented chest compression.

In different embodiment, the rescuer receives to the explanation of small part ground based on CPR disk 1002.In one embodiment, these explanations comprise the first surface 1004 that is positioned at CPR disk 1002 or the indicator on the second surface 1005.In the example shown in Figure 10 a, indicator is positioned on the first surface 1004 of CPR disk 1002.In different examples, the rescuer can receive the explanation from indicator, for example: the hands modes of emplacement, push speed, according to pressing depth, the speed of life-kiss or any other with make the relevant explanation of patient's 1001 recoveries.According to the embodiment shown in Figure 10 a, the rescuer then attempts the patient is recovered.Trial is recovered the patient can be included in the power that applies on the CPR disk 1002 to push patient's chest.

Figure 12 cardinal principle illustration offers the embodiment of rescuer's explanation 1200.The different example of unrestricted purpose being used for illustration, the rescuer can be at least in part based on still being that second surface 314 contacts the patient and places and receive explanation for example as the first surface 304 of Fig. 3 a and the CPR disk shown in Fig. 3 b.Illustrate that 1200 can include but are not limited to: the application rate 1205 of the quantity 1202 of hands/finger modes of emplacement 1201, hands/finger, chest compression speed 1203, the chest compression degree of depth 1204, life-kiss, the using strength 1206 of life-kiss, the explanation 1207 relevant with diathermic use, with medicine send the relevant explanation 1208 of the use of therapy or any other with make patient's relevant explanation of recovering.In different examples, illustrate that 1200 are the form of the one or more lip-deep indicators that are positioned at CPR disk 301.

According to an aspect of the present invention, the rescuer can receive the audio or video explanation.In one embodiment, CPR disk 301 is suitable for passing on the audio or video explanation.In one embodiment, CPR disk 301 is suitable for passing on video specification with luminous form.In another embodiment, CPR disk 301 is suitable for passing on video specification by illuminator.In one embodiment, this kind illuminator is LED (" light emitting diode (light emitting diode) ").In this example, one or more LED can be by being used for passing on explanation to a series of illuminations that the rescuer furnishes an explanation.This kind explanation can include but are not limited to: when push patient's chest or when implement life-kiss.In one embodiment, CPR disk 301 is suitable for passing on video specification by shown text.According to this embodiment, CPR disk 301 can comprise the display device that is used for providing to the rescuer textual description.

In different embodiment, CPR disk 301 can be suitable for passing on explanation by sound, for example passes on chest compression speed.In one embodiment, CPR disk 301 can be suitable for being used for indicating the noise of explanation to pass on explanation to the rescuer by a series of ticking (beeps) or other.In another embodiment, CPR disk 301 can be suitable for synthetic or reproduce people's sound.In another embodiment, CPR disk 301 can be suitable for passing on explanation with the speech form illustrated to the rescuer.In different embodiment, CPR disk 301 can be suitable for passing on the combination in any of audio or video explanation.

In one embodiment, CPR disk 301 can be suitable for providing and depend on the explanation that the sensing of patient's special parameter is measured at least in part.In one embodiment, CPR disk 301 can be suitable for providing the explanation of measuring based on to the sensing of hematodinamics state.In another embodiment, CPR disk 301 can be suitable for providing the explanation of measuring based on the sensing that recovery is attempted.In another embodiment, CPR disk 301 can be suitable for providing the explanation based on the measurement that utilizes any pick off (comprising pick off hereinafter described) to receive.

In different embodiment, CPR disk 301 can be suitable for starting the generation of explanation and/or adjusting explanation based on one or more inputs that one or more rescuer provided of just attempting the patient is recovered.In one embodiment, any input equipment of the input equipment that further describes by comprising hereinafter receives this one or more inputs.

Fig. 4 cardinal principle illustration can be incorporated the different embodiment of the device of CPR disk 401 into.According to an embodiment, CPR disk 401 comprises recognition device 402.Recognition device 402 can be suitable for which the surface contact patient placement of decision automatically with CPR disk 401.In one embodiment, recognition device 402 can be an accelerometer.

Accelerometer is the well-known device that acceleration reaches the counteracting force that is caused by gravity that is used to measure.Can easily various accelerometers be incorporated in the embodiments of the invention, detecting the direction that faces upward or downward of CPR disk 301, these accelerometers comprise with those accelerometers that is generally used in PDA, mobile phone, the electronic game be the various gradient sensing acceleration meters of similar type.

The cardinal principle teaching of this kind accelerometer is discussed in the exercise question of being shown by Kimberly Tuck and is (Freescale Semiconductor in the application note of " utilizing linear accelerometer to carry out gradient sensing (Tilt Sensing Using LinearAccelerometers) ", AN3461,2007).Use and comprise accelerometer and known by the those skilled in the art.The disclosure of the example of the accelerometer of some commercially available acquisition comprises that some devices of being sold by Analog Devices (comprise

Accelerometers ADXL320, ADXL330, ADIS 16209) application data sheet and by Freescale Semiconductor, the technical data sheet of the MMA7455L:XYZAxis Accelerometer that Inc. sold.Each document in these lists of references all is incorporated herein with way of reference.

With the be coupled output of orientation on the surface that can obtain discerning automatically disk 301 of this kind accelerometer and CPR disk 301, wherein the patient's that places of surperficial exposure level down chest is placed.Correspondingly, furnish an explanation based on this orientation or treat.If the patient is not in substantially horizontal position, can utilize other accelerometer to guarantee treatment and the explanation that provides appropriate.

Except that degree of will speed up meter is used as recognition device 402, also can utilize various other devices to determine automatically which surface of CPR disk is contacted with the patient.These devices comprise pendulum sensor (pendulum sensor), the switch (gravity operated switch) by gravity operation, optical pickocff, temperature sensor, little resistance sensor and are used to detect AED impedance stimulus signal or the pick off of other signal of being provided by system.For example, some embodiment can comprise and utilize the weighting switch decision above-below direction with respect to the CPR disk.Another is chosen as, and some embodiment can comprise the conductor fluid that utilizes in the capsule, decides above-below direction with respect to the CPR disk by making this conductor fluid contact electrical contact based on the orientation of disk.Should be understood that the those skilled in the art can utilize and adjusts the device which surface that these pick offs that obtain easily and other device be configured for discerning automatically the CPR disk contacts with the patient.The those skilled in the art is after reading disclosure of the present invention, and various alter modes can become apparent.

May expect that also recognition device surveys the disk orientation of other type.In certain embodiments, for example in the embodiment shown in Fig. 7 a-b and Fig. 8 a-b, may expect to discern disk 706 or 806 orientations with respect to patient's special characteristic.More specifically, this relates to test disks is in primary importance or in the second position relevant rotatably with primary importance, and wherein on these two positions, described device all keeps being positioned at substantially on the same horizontal plane.Surveying other a kind of mode of this kind misorientation is light emitting diode (the Light-emitting diode that is coupled to CPR disk 301 by utilization; LED) and detector.In this kind device, LED can be coupled to CPR disk 301, makes that the light that sends is not stopped when disk is oriented at a direction.For example, in the embodiment shown in Fig. 7 a, if make indicator 702 the most close patient's head place, just this kind situation can take place.Another is chosen as, thereby when the described disk of rotation also made it be oriented in second direction, light will be stopped by a certain feature of patient body (for example patient's chin).For example, if make indicator 703 the most close patient's head place, just this kind situation can take place.Interferential identification correspondingly provides the automatic detection of disk with respect to the orientation of patient's head or other physical trait described indicator to this kind.Thus, can furnish an explanation based on detection to this information.Another is chosen as, and also can utilize the well-known pick off of various other type.

In different embodiment, CPR disk 301 can comprise one or more accountants 403.In one embodiment, described one or more accountant 403 can be suitable for receiving, handling and/or transmit and make patient's relevant information of recovering.

In different embodiment, CPR disk 301 can be suitable for receiving the input from one or more rescuers.In one embodiment, CPR disk 301 can comprise input equipment 404.In one embodiment, input equipment 404 can be the one group of depressible button 405 that is suitable for receiving input.In one embodiment, input equipment 404 can be keyboard 406.In another embodiment, input equipment 404 can be touch screen 407.In another embodiment, input equipment 404 can be mike 408.In an embodiment again, mike 408 can be coupled to the device that is suitable for carrying out speech recognition by communication mode.In one embodiment, mike 408 is coupled to the accountant 403 that can carry out speech recognition with communication mode.In another embodiment, accountant 403 is suitable for discerning the speech explanation that the rescuer that the patient recovered by one or more trials provides.

In different embodiment, CPR disk 301 can comprise one or more communicators 420.In one embodiment, communicator 420 can be one or more display or monitor 409.In another embodiment, display or monitor 409 can be suitable for furnishing an explanation to one or more rescuers that trial is recovered the patient.In another embodiment, display or monitor 409 can be coupled to one or more accountants 403 by communication mode.In different embodiment, CPR disk 301 can comprise one or more user interfaces 410.In one embodiment, accountant 403 can be suitable for utilizing monitor or display 409 to provide one or more user interfaces 410 to link up with the rescuer.In different embodiment, user interface 410 can be suitable for receiving input and linking up with it from one or more rescuers.

In different embodiment, CPR disk 301 can comprise one or more sound-producing devices 411.Sound-producing device 411 can comprise one or more speakers.In one embodiment, sound-producing device 411 can be suitable for synthetic people's sound.In one embodiment, sound-producing device 411 can be suitable for the audio description that provides as described herein.

According to an aspect, CPR disk 301 can comprise one or more lamps, for example light-emitting device (light emitting device; LED) 412.In one embodiment, light-emitting device 412 can comprise one or more LED.In one embodiment, light-emitting device 412 is suitable for as described hereinly providing video specification to the rescuer.

Fig. 5 cardinal principle illustration comprises the different embodiment of the CPR disk 301 of one or more pick offs 501.In different embodiment, CPR disk 301 can comprise one or more pick offs that are suitable for sensing patient health state parameter.The example of this kind health parameter 502 comprises the electric characteristics 508 of heart rate 503, blood pressure 504, temperature 505, blood constituent 506, respiratory frequency 507, heart, the mechanical property 509 of heart and/or the mechanical property 510 of lung, and these examples are only for being used for illustration and unrestricted purpose.Other example of the pick off that can utilize with the CPR disk comprises: blood pathological state (hemeopathic status) pick off, pressure transducer, temperature sensor, blood constituent pick off, respiratory frequen, the electrical property sensor of heart, cardiac mechanical property sensor and lung mechanical property pick off.

In one embodiment, CPR disk 301 can comprise one or more pick offs 511 that sensing attempts making the rescuer's that the patient recovers characteristic that are suitable for.The example of this kind pick off comprises the pick off that is suitable for determining following state: be used to push the position of patient's rescuer's the hands of chest or finger or enforcement characteristic 519 that quantity 512, chest compression speed 513, the chest compression degree of depth 514, chest compression power 515, the application rate 516 of life-kiss, the using strength 517 of life-kiss, diathermic enforcement characteristic 518 and medicine are sent therapy or any other with make patient's relevant explanation of recovering, these examples only confession are used for illustration and unrestricted purpose.

In different embodiment, CPR disk 301 can comprise one or more therapy devices 413, is used to start or adjusts be used for the auxiliary therapy that the patient is recovered.In one embodiment, therapy equipment 413 can be electrical therapy device.In another embodiment, CPR disk 301 can comprise one or more lead-in wires 414.In one embodiment, the electrical therapy device of this kind can comprise one or more defibrillation therapy devices 415, one or more pace-making therapy device 416 or have both concurrently.The example of pace-making therapy device 416 includes but not limited to: tachycardia therapy device and/or bradycardia therapy device.In one embodiment, CPR disk 301 can be provided for the explanation that instructs starts or adjust electrical therapy to the rescuer.In another embodiment, described CPR disk is suitable for automatically or semi-automatically implementing electrical therapy when its contact patient's chest region.

In one embodiment, CPR disk 301 can comprise that one or more medicines send therapy device 417.In different embodiment, medicine is sent therapy device 417 can subcutaneous (subcutaneously), percutaneous (percutaneously), percutaneous dosing (transdermally) mode or come delivering drugs, bioactivator or any medicine that other is fit to by any delivering method that other is fit to.In one embodiment, CPR disk 301 can provide the instructs startup or adjust the explanation that described medicine is sent therapy to the rescuer.In other embodiments, CPR disk 301 can be suitable for when its contact patient's chest region, automatically or semi-automatically starts or adjusts medicine and send therapy.

Figure 11 substantially illustration utilizes among Fig. 3 for example with the CPR disk shown in 301 and assist rescuer's trial to make the example flow diagram of the embodiment that the patient recovers.In 1101, provide CPR disk to the rescuer.In one embodiment, the size and dimension of CPR disk 301 is suitable for being placed on patient's the chest region.In 1102, provide first indicator, 303, the first indicators 303 to be positioned at and to be placed on the first surface 304 of the CPR disk 301 on patient's chest region to the rescuer.In 1103, provide second indicator, 315, the second indicators 315 to be positioned at and to be arranged on the second surface 314 of the CPR disk 301 on patient's chest region to the rescuer.In 1104, be provided for explanation that the patient is recovered to the rescuer, wherein these explanations are at least in part based on being that first surface 304 or second surface 314 are placed on patient's the chest region.

Figure 13 illustration substantially is used for the system that auxiliary rescuer attempts making patient's 1301 recoveries.In one embodiment, described system comprises CPR disk 1302 as described herein.CPR disk 1302 can be coupled to one or more external device (ED)s 1303 by communication mode.In different embodiment, one or more external device (ED)s 1303 can be suitable for auxiliary one or more rescuers recovers the patient.In one embodiment, one or more external device (ED)s 1303 can comprise that this paper is at the described any device of device included in the CPR disk 1302.In one embodiment, one or more external device (ED)s 1303 can comprise that this paper is at CPR disk 1302 described any pick offs.In different embodiment, described one or more external device (ED)s comprise the combination in any of this paper at CPR disk 1302 described devices or pick off.In different embodiment, described one or more external device (ED)s are suitable for passing on as this paper at the 1302 described explanations of CPR disk.

The present invention can be embodied as other concrete form under the condition of the spirit that does not deviate from its essential attributes.Therefore, illustrated embodiment all should be regarded as exemplary and nonrestrictive in every respect, should be with reference to enclosing claims but not above-mentioned explanation when indication scope of the present invention.

Claims

1. method that auxiliary rescuer recovers the patient comprises:

Provide cardio-pulmonary resuscitation (cardiopulmonary resuscitation to described rescuer; CPR) disk, the size and dimension of at least a portion of wherein said CPR disk are that the chest region according to the patient disposes, and comprise first surface and second surface at least, and described CPR disk also comprises:

First indication will be placed in order to the described first surface of indicating described CPR disk on described patient's the described chest region; And

Second indication will be placed in order to the described second surface of indicating described CPR disk on described patient's the described chest region; And

Provide the explanation that makes described patient recovery to described rescuer, described explanation is at least in part based on being that described first surface or described second surface are placed on described patient's the described chest region.

2. the method for claim 1 is characterized in that, furnishing an explanation comprises: provide labelling on one of them at least at described first surface and described second surface.

3. the method for claim 1, it is characterized in that, provide described CPR disk to comprise: if the described first surface of described CPR disk is placed on described patient's the described chest region, then provide described first indication with first language, if and the described second surface of described CPR disk is placed on described patient's the described chest region, then provide described second indication with second language; And

Wherein, furnish an explanation and comprise: if the described first surface of described CPR disk is placed on described patient's the described chest region, then furnish an explanation with described first language, if and the described second surface of described CPR disk is placed on described patient's the described chest region, then furnish an explanation with described second language.

4. the method for claim 1, it is characterized in that, provide described CPR disk to comprise: when the described first surface of described CPR disk is placed on described patient's the described chest region, described first indication is provided, described first indication indicates described CPR disk to be intended to make first group of patient's recovery to described rescuer, and when the described second surface of described CPR disk is placed on described patient's the described chest region, described second indication is provided, and described second indication indicates described CPR disk to be intended to make second group of patient's recovery to described rescuer.

5. method as claimed in claim 4, it is characterized in that, providing described CPR disk to comprise provides CPR disk as described below: the described second surface of described CPR disk is suitable generally according with first group of patient's described chest region, and the described first surface of described CPR disk is suitable to accord with second group of patient's described chest region.

6. method as claimed in claim 5 is characterized in that, the difference between described first group of patient and the described second group of patient is selected from the set that comprises following difference: age difference, stature difference, sex difference or above-mentioned combination in any; And

Wherein provide described CPR disk to comprise: described CPR disk is provided so that the difference between described first surface and the described second surface corresponding to the difference between described first group of patient and the described second group of patient.

7. the method for claim 1 also comprises:

The described first surface that automatic identification is described CPR disk or the described second surface of described CPR disk are oriented to the described chest region in the face of described patient; And

The described chest region that the described first surface that is in response to the described CPR disk of automatic identification or the described second surface of described CPR disk be oriented in the face of described patient that wherein furnishes an explanation is performed.

8. method as claimed in claim 7, it is characterized in that described automatic identification is the use that the described first surface of described CPR disk or the step that the described second surface of described CPR disk is oriented to the described chest region of facing described patient comprise accelerometer.

9. method as claimed in claim 7, it is characterized in that, described automatic identification is the use that the described first surface of described CPR disk or the step that the described second surface of described CPR disk is oriented to the described chest region of facing described patient comprise weighting switch (weighted switch), to determine the above-below direction about described CPR disk.

10. method as claimed in claim 7, it is characterized in that, described automatic identification is that the described second surface of the described first surface of described CPR disk or described CPR disk is oriented to the use that comprises conductor fluid in the container in the face of the step of described patient's described chest region, by making the orientation contact electrical contact of described conductor fluid, to determine above-below direction about described CPR disk based on described disk.

11. a method that makes the rescuer use cardio-pulmonary resuscitation (CPR) auxiliary device that the patient is recovered comprises:

Place to contact described patient with what with one of them person of described second surface according to the fixed described first surface of at least the second indication ， Decision on the second surface of indication of at least the first on the first surface of described CPR auxiliary device and described CPR auxiliary device;

The described first surface of described CPR auxiliary device is placed to contact described patient's chest region with one of them person of described second surface; And

Reception is used to make the explanation of described patient's recovery, and wherein said explanation is at least in part based on placing with wherein one of the described first surface of the described chest region that contacts described patient and described second surface.

12. method as claimed in claim 11, it is characterized in that, receive explanation and comprise and receive the set that is selected from following explanation: the application rate of the quantity of hands/finger modes of emplacement, hands/finger, chest compression speed, the chest compression degree of depth, life-kiss, the using strength of life-kiss, the explanation relevant with the use of electrical therapy, and medicine send relevant explanation of the use of therapy or above-mentioned combination in any.

13. method as claimed in claim 11 is characterized in that, receives explanation and comprises that reception is selected from the set of following explanation: receive audio description, receiver, video explanation or above-mentioned combination in any.

14. method as claimed in claim 11, it is characterized in that, described at least one first indication indicates described CPR auxiliary device to be intended to be used to make first group of patient's recovery to the rescuer, and described at least one second indication indicates described CPR auxiliary device to be intended to be used to make second group of patient's recovery to the rescuer; And

Wherein one the placing and comprise of the described first surface of the fixed described CPR auxiliary device of Qi Zhong Decision and described second surface to contact described patient: according to described patient be described first group of patient one of them or described second group of Hang Decision of one of them Jin of patient calmly.

15. method as claimed in claim 11, it is characterized in that recovery comprises the set that is selected from following at least a action: carry out cardio-pulmonary resuscitation (CPR), manually boot or adjust electrical cardiac therapies, start automatically or adjust electrical cardiac therapies, carry out life-kiss, manually delivering drugs, delivering drugs or above-mentioned combination in any automatically.

16. method as claimed in claim 11, the described first surface that it is characterized in that the fixed described CPR auxiliary device of ， Decision and described second surface wherein one to contact described patient, be to need not that operator intervene and execution automatically.

17. method as claimed in claim 16 is characterized in that, the judgement of use recognition device is that the first surface or the second surface of described CPR auxiliary device contacts described patient.

18. a recovery auxiliary device comprises:

Object, the size and dimension of described object are that the chest region according to the patient disposes, and described object has a first surface and a second surface, and wherein said object comprises:

First indication is placed to contact described patient in order to the described first surface of indicating described object;

Second indication is placed to contact described patient in order to the described second surface of indicating described object; And

Labelling is passed on explanation, is arranged on the described object, in order to when attempting making described patient's recovery according to the observation to described first indication and described second indication, the use of described object is described.

19. device as claimed in claim 18 comprises that also being used for discerning automatically is the method that described first surface or described second surface contact described patient.

20. device as claimed in claim 19 also comprises being used for being used for the method for automatically identification and providing the method for explanation automatically based on described.

21. device as claimed in claim 20, it is characterized in that described explanation comprises and is selected from the set that comprises following at least a action: the application rate of the quantity of hands/finger modes of emplacement, hands/finger, chest compression speed, the chest compression degree of depth, life-kiss, the using strength of life-kiss, the explanation relevant, send relevant explanation of the use of therapy or above-mentioned combination in any with medicine with the use of electrical therapy.

22. device as claimed in claim 20 is characterized in that, the described device of the described first indication indication will be linked up with first language, and the described device of the described second indication indication will be linked up with second language; And

Wherein, if described first surface is placed to contact described patient, the then described method that is used for providing automatically explanation is suitable to be communicated with described first language, and if described second surface is placed to contact described patient, the then described method that is used for providing automatically explanation is suitable to be communicated with described second language.

23. device as claimed in claim 18 is characterized in that, at least a portion of described first surface is suitable for according with first group of patient's chest region, and at least a portion of described second surface is suitable for according with second group of patient's chest region; And

Be to belong to described first group of patient or belong to described second group of patient based on described patient wherein, described first indication and described second indication will indicate described first surface and described second surface wherein one to place to contact described patient.

24. device as claimed in claim 18 is characterized in that, described object is coupled to one or more external device (ED) with communication mode, and described external device (ED) is suitable for auxiliary described rescuer to be attempted the patient is recovered.

25. device as claimed in claim 24, it is characterized in that described one or more external device (ED) is selected from following set: accountant, therapy startup or adjusting device, defibrillation device, pacemaker, medicine are sent therapy device, communicator, monitoring arrangement, display device, user interface, mike or above-mentioned combination in any.

26. device as claimed in claim 24, it is characterized in that, described at least one object is based on described first surface with described at least one external device (ED) or described second surface placement what contacts described patient ， Fitness to start or adjustment recovery therapy or explanation.